FORM - XVII REGISTER OF WAGES

[Vide Rule 78 (1) (a) (i) of Contract Labour (Reg. & Abolition) Central & A.P.Rules]

Name and address of Establishemnt

in/
under which contract is carried on:

Name and address of Contractor:

Nature and location of work:

Wage period: Monthly

S.No
Month & Year

Name and address of Principal Employer:

Name of
Workman

Serial No. in
the
Register of
Workmen

Designation /
Nature of
Work
Done

No.of Unit of Daily rate

Days
work of wages/
worked done piece rate

Basic
Dearness
wages Allowances

Over
time

Other cash
payments
(Nature of
payments
to be
indicated)

Deductions, if any,
(Indicate nature)
Total
ESI

Apr-16

Suneel Kumar

CNT00232

Operator

PF

PT

Total
Deductions

Net
Amount
paid

28.5

474

9975

3525

11185

NA 24685

432

1197 200

1829

22856

May-16

31

458

10500

3709

9020

NA 23229

407

1260 200

1867

21362

Jun-16

27

474

9450

3339

3728

NA 16517

290

1134 200

1624

14893

Jul-16

25.5

458

8637

3051

5731

NA 17419

305

1036 200

1541

15878

Aug-16

31

458

10500

3709

4245

NA 18454

323

1260 200

1783

16671

Sep-16

28

474

9800

3462

3838

NA 17100

300

1176 200

1676

15424

7
8
9
10

Signature of the Site Engineer

Signature of the Contractor with Seal

GISTER OF WAGES

bour (Reg. & Abolition) Central & A.P.Rules]

Initial of
Signature/Th
Contractor
umb
or his
Impression of
representa
workman
tive

Signature of the Contractor with Seal

FORM - XV

[Vide Rule 78 (1) (a) (

Name and address of Contractor:

Nature and location of work:

Wage period: Monthly

S.No
Month & Year

Name of
Workman

Ritesh

Serial No. in
the
Register of
Workmen
CNT00247

Designation /
Nature of
Work
Done

Apr-16

May-16

30

Jun-16

30

Jul-16

27

Aug-16

31

Sep-16

27

7
8
9
10

Signature of the Site Engineer

Operator

No.of
Days
worked

30

FORM - XVII REGISTER OF WAGES

[Vide Rule 78 (1) (a) (i) of Contract Labour (Reg. & Abolition) Central & A.P.Rules]

Name and address of Establishemnt

in/
under which contract is carried on:

Name and address of Principal Employer

Unit of Daily rate

work of wages/
done piece rate

Basic
Dearness
wages Allowances

Over
time

Other cash
payments
(Nature of
payments
to be
indicated)

Deductions, if a
(Indicate natur
Total
ESI

PF

493

11000

3779

12893

NA 27672

485

1320

477

10645

3659

8927

NA 23231

407

1277

493

11000

3779

5136

NA 19915

349

1320

477

9581

3291

5579

NA 18451

323

1150

477

11000

3779

6898

NA 21677

380

1320

493

9900

3401

4088

NA 17389

305

1188

Signature of the Contractor w

stablishemnt

s carried on:

rincipal Employer:

Deductions, if any,
(Indicate nature)

Initial of
Signature/Th
Net
Contractor
umb
Amount
or his
Impression of
paid
representa
workman
tive

PT

Total
Deductions

200

2005

25667

200

1884

21347

200

1869

18046

200

1673

16778

200

1900

19777

200

1693

15696

re of the Contractor with Seal

FORM - XV

[Vide Rule 78 (1) (a) (

Name and address of Contractor:

Nature and location of work:

Wage period: Monthly

S.No
Month & Year

Name of
Workman

Vikas

Serial No. in
the
Register of
Workmen
CNT00248

Designation /
Nature of
Work
Done

Apr-16

May-16

30.5

Jun-16

30

Jul-16

31

Aug-16

31

Sep-16

25

7
8
9
10

Signature of the Site Engineer

Operator

No.of
Days
worked

30

FORM - XVII REGISTER OF WAGES

[Vide Rule 78 (1) (a) (i) of Contract Labour (Reg. & Abolition) Central & A.P.Rules]

Name and address of Establishemnt

in/
under which contract is carried on:

Name and address of Principal Employer

Unit of Daily rate

work of wages/
done piece rate

Basic
Dearness
wages Allowances

Over
time

Other cash
payments
(Nature of
payments
to be
indicated)

Deductions, if a
(Indicate natur
Total
ESI

PF

501

11000

4020

9081

NA 24101

1320

484

10823

3954

6100

20877

1299

501

11000

4020

4701

19721

1320

485

11000

4020

5376

20396

1320

485

11000

4020

5376

20396

1320

501

9167

3351

3205

15723

1100

Signature of the Contractor w

stablishemnt

s carried on:

rincipal Employer:

Deductions, if any,
(Indicate nature)

Initial of
Signature/Th
Net
Contractor
umb
Amount
or his
Impression of
paid
representa
workman
tive

PT

Total
Deductions

200

1520

22581

200

1499

19378

200

1520

18201

200

1520

18876

200

1520

18876

200

1300

14423

re of the Contractor with Seal

FORM - XV

[Vide Rule 78 (1) (a) (

Name and address of Contractor:

Nature and location of work:

Wage period: Monthly

S.No
Month & Year

Name of
Workman

Nikhil

Serial No. in
the
Register of
Workmen
CNT00233

Designation /
Nature of
Work
Done

No.of
Days
worked

Apr-16

May-16

31

Jun-16

30

Jul-16

31

Aug-16

31

Sep-16

30

7
8
9
10

Signature of the Site Engineer

Supervisor

FORM - XVII REGISTER OF WAGES

[Vide Rule 78 (1) (a) (i) of Contract Labour (Reg. & Abolition) Central & A.P.Rules]

Name and address of Establishemnt

in/
under which contract is carried on:

Name and address of Principal Employer

Unit of Daily rate

work of wages/
done piece rate

Basic
Dearness
wages Allowances

Over
time

Other cash
payments
(Nature of
payments
to be
indicated)

Deductions, if a
(Indicate natur
Total
ESI

PF

533

11000

5520

5139

NA 21659

1320

551

11000

5520

5370

NA 21890

1320

533

11000

5520

6929

NA 23449

1320

533

11000

5520

6352

NA 22872

1320

551

11000

5520

6921

NA 23441

1320

Signature of the Contractor w

stablishemnt

s carried on:

rincipal Employer:

Deductions, if any,
(Indicate nature)

Initial of
Signature/Th
Net
Contractor
umb
Amount
or his
Impression of
paid
representa
workman
tive

PT

Total
Deductions

200

1520

20139

200

1520

20370

200

1520

21929

200

1520

21352

200

1520

21921

re of the Contractor with Seal

FORM - XV

[Vide Rule 78 (1) (a) (

Name and address of Contractor:

Nature and location of work:

Wage period: Monthly

S.No
Month & Year

Name of
Workman

Anil Kumar

Serial No. in
the
Register of
Workmen
CNT00273

Designation /
Nature of
Work
Done

Apr-16

May-16

27

Jun-16

28.5

Jul-16

31

Aug-16

27.5

Sep-16

27.5

7
8
9
10

Signature of the Site Engineer

Operator

No.of
Days
worked

23

FORM - XVII REGISTER OF WAGES

[Vide Rule 78 (1) (a) (i) of Contract Labour (Reg. & Abolition) Central & A.P.Rules]

Name and address of Establishemnt

in/
under which contract is carried on:

Name and address of Principal Employer

Unit of Daily rate

work of wages/
done piece rate

Basic
Dearness
wages Allowances

Other cash
payments
(Nature of
payments
to be
indicated)

Over
time

Deductions, if a
(Indicate natur
Total
ESI

PF

804

8433

3848

NA 12281

1012

455

9581

4372

NA 13953

1150

534

10450

4770

1382

NA 16602

1254

517

11000

5020

3566

NA 19586

1320

458

9758

4454

3455

NA 17667

1171

534

10083

4602

3801

NA 18486

1210

Signature of the Contractor w

stablishemnt

s carried on:

rincipal Employer:

Deductions, if any,
(Indicate nature)

Initial of
Signature/Th
Net
Contractor
umb
Amount
or his
Impression of
paid
representa
workman
tive

PT

Total
Deductions

200

1212

11069

200

1350

12603

200

1454

15136

200

1520

18066

200

1371

16296

200

1410

17076

re of the Contractor with Seal